Premium
Kidney transplant complications from undiagnosed benign prostatic hypertrophy
Author(s) -
Lubetzky Michelle,
Ajaimy Maria,
Kamal Layla,
Boccardo Graciela,
Akalin Enver,
Kayler Liise
Publication year - 2015
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12548
Subject(s) - medicine , urinary retention , urology , urinary system , kidney transplantation , transplantation , surgery , nephrology , foley catheter , incidence (geometry) , retrospective cohort study , catheter , physics , optics
Background It is estimated that approximately 50% of males over 50 have benign prostatic hypertrophy ( BPH ). BPH is underappreciated in anuric patients with end stage renal disease, and failure of diagnosis in this population can lead to complications after kidney transplantation. Methods A single‐center retrospective review of male patients over 50 yr of age transplanted from J anuary 1, 2010, until S eptember 30, 2013, was performed. Outcomes assessed were as follows: graft survival, urinary retention, discharge with F oley catheter, and urinary tract infection ( UTI ). Results Of 147 patients, 17.0% were diagnosed with BPH before transplant, 19.0% received a BPH diagnosis after transplant, and 64% did not have BPH . Compared to those without BPH , a post‐transplant BPH diagnosis was associated with urinary retention during the transplant admission (0% vs. 46.4%, p < 0.01), discharge with F oley catheter (0% vs. 21.4%, p < 0.01), readmission related to urinary retention (0% vs. 46.4%, p < 0.01), and UTI (18.0% vs. 64.3%, p < 0.01). Patients with prior diagnosis of BPH and on therapy had similar outcomes to those without BPH . Conclusions Following kidney transplant, urinary tract complications are more common in patients with BPH ; however, being on medical therapy prior to transplantation diminishes the incidence of these complications significantly.